Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A119544 | CA |
Y | 111NI0900X | Internist | A119544 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | A119544 | CA |
NPI | 1174725071 |
---|---|
Provider Name | Mrs. Janell Alden Sherr |
First Address | Stanford, CA 94305-5101 |
Second Address | Stanford, CA 94305-5101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2007 |
Last Update Date | 09/06/2015 |