Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | A104907 | CA |
N | 208000000X | Pediatrician | A104907 | CA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | A104907 | CA |
NPI | 1497941397 |
---|---|
Provider Name | Dr. Anna-Kaisa Niemi |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 11/07/2018 |