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) | |
207R00000X Internal Medicine (Licence: WA 61109513) | |
Enumeration Date | 2009-01-30 |
Last Update Date | 2024-10-15 |