Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A117801 | CA |
Y | 2080P0202X | Pediatric Cardiologist | A117801 | CA |
NPI | 1194040220 |
---|---|
Provider Name | Bronwyn Uber Harris |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2010 |
Last Update Date | 30/08/2016 |