Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 2006017901 | MO |
N | 2084N0400X | Neurologist | MD441825 | PA |
NPI | 1003911165 |
---|---|
Provider Name | Dr. Miranda Ming-Wai Lim |
First Address | Philadelphia, PA 19104-2614 |
Second Address | Philadelphia, PA 19104-2614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 25/04/2012 |