Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 693712 | CA |
NPI | 1376884809 |
---|---|
Provider Name | Mrs. Kulwinder Kaur |
First Address | Fresno, CA 93726-4301 |
Second Address | Fresno, CA 93711-3303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2013 |
Last Update Date | 31/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
693712 | NURSE PRACTITIONER (01) | CA |