Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | 23815 | CA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 22245 | CA |
NPI | 1033356969 |
---|---|
Provider Name | Amy Ng |
First Address | San Francisco, CA 94102-3703 |
Second Address | San Francisco, CA 94102-3703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2009 |
Last Update Date | 22/08/2012 |