Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A63384 | CA |
NPI | 1033294020 |
---|---|
Provider Name | Dr. Ann Margaret O'hare |
First Address | Corte Madera, CA 94925-1912 |
Second Address | Corte Madera, CA 94925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |