Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 60036923 | WA |
NPI | 1306050091 |
---|---|
Provider Name | Carolina Di Blasi |
First Address | Seattle, WA 09105 |
Second Address | Seattle, WA 09105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 06/06/2012 |