Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G59583 | CA |
Y | 207VX0201X | Gynecologic Oncologist | G59583 | CA |
NPI | 1306995287 |
---|---|
Provider Name | Dr. Catherine Bethan Powell |
First Address | San Francisco, CA 94115-3036 |
Second Address | San Francisco, CA 94143-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 14/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G595830 | (05) | CA |
E57356 | (02) | CA |