NPI | 1972730224 |
---|---|
Former Name | AMY MICHELLE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CO DR.0067492) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 263154) |
Enumeration Date | 2009-06-14 |
Last Update Date | 2022-08-04 |