| NPI | 1821012816 |
|---|---|
| Former Name | VERDENA L LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102203646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34006495) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-04-17 |