Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 55622 | TN |
Y | 2080P0208X | Pediatric Infectious Diseases | 55622 | TN |
NPI | 1528320280 |
---|---|
Provider Name | Dr. Sophie Elizabeth Katz |
First Address | Nashville, TN 37204 |
Second Address | Nashville, TN 37232-1043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2012 |
Last Update Date | 15/10/2020 |