Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1932419975 |
---|---|
Provider Name | Dr. Anna H. Wu |
First Address | Los Angeles, CA 90089-0112 |
Second Address | Los Angeles, CA 90089-0112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2010 |
Last Update Date | 08/10/2010 |