Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | A73570 | CA |
NPI | 1225068885 |
---|---|
Provider Name | Dr. Tara Lynn Greenhow |
First Address | San Francisco, CA 94115-3357 |
Second Address | San Francisco, CA 94115-3357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 13/12/2021 |