Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G069996 | CA |
NPI | 1134291180 |
---|---|
Provider Name | Dr. Isabelle Patricia Ryan |
First Address | San Francisco, CA 94133-2110 |
Second Address | San Francisco, CA 94133-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F15890 | (02) | CA |