Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 204797 | CA |
NPI | 1467497255 |
---|---|
Provider Name | Dr. Maud Haimson Nerman |
First Address | Novato, CA 94947-7855 |
Second Address | Novato, CA 94947-7855 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 04/03/2021 |