Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | NP 6383 | CA |
NPI | 1003951310 |
---|---|
Provider Name | Laura J Ohara |
First Address | San Jose, CA 95124-4109 |
Second Address | San Jose, CA 95124-4109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |