Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G36091 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G36091 | CA |
NPI | 1053352302 |
---|---|
Provider Name | Dr. Patricia A. Robertson |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 22/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G360910 | (05) | CA |
A46570 | (02) | CA |