Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 0101235073 | VA |
NPI | 1417097536 |
---|---|
Provider Name | Pearl L. Yu |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22901-8303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 02/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010023181 | (05) | VA |
634816 | (02) | VA |