Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A62171 | CA |
NPI | 1043261027 |
---|---|
Provider Name | Dr. Jennifer V Ratcliffe |
First Address | Santa Rosa, CA 95405-4819 |
Second Address | Santa Rosa, CA 95405-4819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 08/07/2007 |