Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-435 | CA |
NPI | 1124320767 |
---|---|
Provider Name | Dr. Sara M. Norris |
First Address | Oakland, CA 94609 |
Second Address | Oakland, CA 94609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2010 |
Last Update Date | 29/01/2013 |