Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A154370 | CA |
NPI | 1083974422 |
---|---|
Provider Name | Linden Elizabeth Fornoff |
First Address | Palo Alto, CA 94304-1503 |
Second Address | Palo Alto, CA 94304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2012 |
Last Update Date | 05/07/2018 |