Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 161410 | OR |
N | 111NI0900X | Internist | 161410 | OR |
NPI | 1003184946 |
---|---|
Provider Name | Nona Niculescu |
First Address | Seattle, WA 98144 |
Second Address | Seattle, WA 98144-2712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2011 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003184946 | (05) | OR |