Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 26177 | CA |
NPI | 1700957461 |
---|---|
Provider Name | Dr. Eilisabetta Alfonsi |
First Address | San Francisco, CA 94109-4559 |
Second Address | San Francisco, CA 94109-4559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 08/07/2007 |