Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | D79178 | MD |
Y | 2080P0208X | Pediatric Infectious Diseases | MD046375 | DC |
NPI | 1093074783 |
---|---|
Provider Name | Wei Li Adeline Koay |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2012 |
Last Update Date | 23/10/2018 |