Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | NONE | CT |
NPI | 1134486848 |
---|---|
Provider Name | Dr. Xia Li |
First Address | Palm Beach Gardens, FL 33418-4207 |
Second Address | Shelton, CT 06484-7603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 02/05/2012 |