Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301077949 | MI |
Y | 207V00000X | Obstetrician & Gynecologist | MD00047198 | WA |
N | 207VE0102X | Reproductive Endocrinologist | MD00047198 | WA |
N | 207VG0400X | Gynecologist | MD00047198 | WA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD00047198 | WA |
N | 207VX0000X | Obstetrician | MD00047198 | WA |
NPI | 1295703650 |
---|---|
Provider Name | Monica Abbi |
First Address | Tacoma, WA 98405-4238 |
Second Address | Tacoma, WA 98405-4238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 16/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I48177 | (02) |