Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | DRN-02002537 | CA |
NPI | 1558961839 |
---|---|
Provider Name | Dr. Wenhui Laura Li |
First Address | La Crescenta, CA 91214-3108 |
Second Address | Irvine, CA 92618-2361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2020 |
Last Update Date | 27/10/2020 |