Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 33374 | CA |
NPI | 1477070969 |
---|---|
Provider Name | Dr. Gurwinder Kaur Bath |
First Address | Sacramento, CA 95821-5936 |
Second Address | Sacramento, CA 95821-5936 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2017 |
Last Update Date | 24/08/2017 |