| NPI | 1790765139 |
|---|---|
| Former Name | KYOUNG-EUN KELLY LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MI 4704247830) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |