Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A86562 | CA |
NPI | 1073596862 |
---|---|
Provider Name | Liza Kunz |
First Address | Mountain View, CA 94040-6201 |
Second Address | Mountain View, CA 94040-4103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 27/01/2015 |