Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A12412 | CA |
NPI | 1285985820 |
---|---|
Provider Name | Dr. Annette Hulse |
First Address | Los Altos, CA 94024-6208 |
Second Address | Los Altos, CA 94022-2753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2012 |
Last Update Date | 30/09/2020 |