| NPI | 1891933792 |
|---|---|
| Former Name | MICHELLE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020005839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME142714) |
| 207R00000X Internal Medicine (Licence: GA 73908) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2021-05-28 |