Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | C130762 | CA |
N | 2080P0201X | Pediatric Allergist | C130762 | CA |
NPI | 1003080052 |
---|---|
Provider Name | Julia A Cronin |
First Address | Mountain View, CA 94040-6203 |
Second Address | Mountain View, CA 94040-2833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2008 |
Last Update Date | 19/08/2014 |