Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A65532 | CA |
NPI | 1477656817 |
---|---|
Provider Name | Mrs. Catherine S Nagy |
First Address | Sacramento, CA 95819-3741 |
Second Address | Sacramento, CA 95819-3741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 17/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A655320 | (05) | CA |
H02796 | (02) |