Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 036.138575 | IL |
Y | 207VX0201X | Gynecologic Oncologist | A113741 | CA |
NPI | 1316155781 |
---|---|
Provider Name | Dr. Rebecca Ann Brooks |
First Address | Sacramento, CA 95817-2307 |
Second Address | Sacramento, CA 95817-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 29/01/2019 |