Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | G81801 | CA |
NPI | 1184663650 |
---|---|
Provider Name | Dr. Katharine M. Woessner |
First Address | San Diego, CA 92127-5705 |
Second Address | San Diego, CA 92130-3318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 03/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G818010 | (05) | CA |
F88594 | (02) | CA |