Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A120950 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A120950 | CA |
NPI | 1164643896 |
---|---|
Provider Name | Kristina Milan |
First Address | Sacramento, CA 95816-7092 |
Second Address | Sacramento, CA 95816-7097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 11/02/2022 |