Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | ML20009170 | WA |
N | 208000000X | Pediatrician | 000 | ZZ |
NPI | 1336303031 |
---|---|
Provider Name | Mrs. Ruxandra Bachmann-Gagescu |
First Address | Seattle, WA 98195-0001 |
Second Address | Seattle, WA 98195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2008 |
Last Update Date | 24/01/2012 |