Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A118200 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A118200 | CA |
NPI | 1053692988 |
---|---|
Provider Name | Dr. Amy E Judy |
First Address | Palo Alto, CA 94304-1511 |
Second Address | Palo Alto, CA 94304-1511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2011 |
Last Update Date | 08/11/2021 |