Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1437435377 |
---|---|
Provider Name | Laila Wah |
First Address | Doylestown, PA 18901-0123 |
Second Address | Philadelphia, PA 19147-2420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2011 |
Last Update Date | 24/10/2011 |