Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 95016083 | CA |
NPI | 1003411323 |
---|---|
Provider Name | Kera Njenga |
First Address | San Jose, CA 95134-2188 |
Second Address | San Jose, CA 95134-2188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2020 |
Last Update Date | 29/01/2021 |