| NPI | 1912069592 |
|---|---|
| Former Name | KI LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO temporary) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 01057284A) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-05-21 |