Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD60231639 | WA |
NPI | 1386755239 |
---|---|
Provider Name | Hannah More Tully |
First Address | Seattle, WA 98195-6340 |
Second Address | Seattle, WA 98195-6340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 13/07/2011 |