Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G58224 | CA |
N | 207VX0000X | Obstetrician | 270429 | NY |
NPI | 1457403818 |
---|---|
Provider Name | Marianne Sommerville |
First Address | Los Altos, CA 94022-1408 |
Second Address | Berkeley, CA 94705-2067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 09/09/2020 |