| NPI | 1992264295 |
|---|---|
| Former Name | CARROU LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 103309) |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2019-03-16 |