Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A115836 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | A115836 | CA |
NPI | 1154526762 |
---|---|
Provider Name | Catherine C. Aftandilian |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 11/04/2019 |