Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | ME141487 | FL |
NPI | 1578943171 |
---|---|
Provider Name | Yoomie Jane Lee |
First Address | Miami, FL 33173-3570 |
Second Address | Miami Lakes, FL 33014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2015 |
Last Update Date | 23/09/2019 |