Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD60150783 | WA |
N | 2080P0210X | Pediatric Nephrologist | MD60150783 | WA |
NPI | 1477724821 |
---|---|
Provider Name | Yolanda Wai Ng |
First Address | Spokane, WA 99204-2302 |
Second Address | Spokane, WA 99204-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2008 |
Last Update Date | 09/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD60150783 | LICENSE (01) | WA |