Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A128637 | CA |
NPI | 1033485461 |
---|---|
Provider Name | Dr. Kathryn Joyce Martires |
First Address | Mountain View, CA 94040-6203 |
Second Address | San Jose, CA 95123-1105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 04/12/2017 |