Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | C50127 | CA |
NPI | 1255525374 |
---|---|
Provider Name | Dr. Cornelia Dekker |
First Address | Stanford, CA 94305-5208 |
Second Address | Stanford, CA 94305-5208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2007 |
Last Update Date | 31/08/2007 |