| NPI | 1982947842 |
|---|---|
| Former Name | TAMARA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 303419) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207W00000X Ophthalmology (Licence: CA A133862) | |
| 207W00000X Ophthalmology (Licence: NY 303419) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2021-12-01 |