Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD00033848 | WA |
NPI | 1013972785 |
---|---|
Provider Name | Dr. Elizabeth Lee Engelhardt |
First Address | Yakima, WA 98902-3761 |
Second Address | Yakima, WA 98902-3761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8198558 | (05) | WA |