Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | WA |
NPI | 1306059605 |
---|---|
Provider Name | Dr. Liliane Joyce Bartha |
First Address | Olympia, WA 98501-9715 |
Second Address | Olympia, WA 98501-9715 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |