NPI | 1952356834 |
---|---|
Former Name | DEBORAH JEAN LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD22867) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD22867) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2021-07-22 |