Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | A100363 | CA |
NPI | 1154515385 |
---|---|
Provider Name | Dr. Aileen Shieu |
First Address | San Mateo, CA 94403-2949 |
Second Address | San Mateo, CA 94403-4364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2007 |
Last Update Date | 11/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A100363 | STATE LICENCE (01) | CA |