Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | NP7880 | CA |
NPI | 1154488765 |
---|---|
Provider Name | Erna Josiah-Davis |
First Address | Oakland, CA 94610-6122 |
Second Address | San Francisco, CA 94118-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |