| NPI | 1821067489 |
|---|---|
| Former Name | SERENA A LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2005038794) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2025-09-28 |