Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 23035 | CA |
NPI | 1023369535 |
---|---|
Provider Name | Alice Yu |
First Address | San Francisco, CA 94133-4492 |
Second Address | San Francisco, CA 94133-4492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2012 |
Last Update Date | 17/03/2018 |