Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | A140509 | CA |
NPI | 1720407356 |
---|---|
Provider Name | Elizabeth Wechter |
First Address | Mountain View, CA 94040-6203 |
Second Address | Fremont, CA 94538-2299 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 05/09/2018 |