Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 351140 | CA |
NPI | 1164513321 |
---|---|
Provider Name | Carrie A Kaufmann |
First Address | San Jose, CA 95117-1840 |
Second Address | San Jose, CA 95117-1840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 24/07/2007 |