Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 025209 MD00017190 | WA |
NPI | 1003184839 |
---|---|
Provider Name | Dr. Jill Rosetta Varni |
First Address | Bellevue, WA 98004-6068 |
Second Address | Bellevue, WA 98004-6068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2011 |
Last Update Date | 07/12/2011 |