NPI | 1891864849 |
---|---|
Other Name | KELLY ELIZABETH LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 60017286) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA pa18715) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2017-12-07 |