Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 20A13154 | CA |
Y | 207VX0201X | Gynecologic Oncologist | 20A13154 | CA |
NPI | 1083972426 |
---|---|
Provider Name | Corinna Liu |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93701-2124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2012 |
Last Update Date | 13/03/2017 |