NPI | 1902151970 |
---|---|
Former Name | ELIZABETH T LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-00659) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX q0098) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2024-09-19 |