Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 235993 | CA |
N | 363LW0102X | Nurse Practitioner - Women's Health | 95010415 | CA |
NPI | 1043776453 |
---|---|
Provider Name | Bridget Rochios |
First Address | San Francisco, CA 94110-3518 |
Second Address | Walnut Creek, CA 94596-5318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2019 |
Last Update Date | 21/02/2019 |