Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | G75533 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | G75533 | CA |
NPI | 1174554000 |
---|---|
Provider Name | Dr. Elizabeth Robbins |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 12/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G755330 | (05) | CA |
E11141 | (02) | CA |