Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 020405 | LA |
Y | 207T00000X | Neurosurgeon | C52546 | CA |
NPI | 1003921388 |
---|---|
Provider Name | Dr. Anne H. Sholes |
First Address | Sacramento, CA 95816-5120 |
Second Address | Sacramento, CA 95816-5119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 02/07/2009 |