NPI | 1962442160 |
---|---|
Former Name | JI YOUNG LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036115584) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07954500) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2008-04-22 |