Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | MD443112 | PA |
NPI | 1346401247 |
---|---|
Provider Name | Dr. Emily Elizabeth Way |
First Address | Fairfax, VA 22031-2241 |
Second Address | Fairfax, VA 22031-2241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 25/11/2014 |