Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 515082 | CA |
NPI | 1023016524 |
---|---|
Provider Name | Ms. Rebecca Leigh Buti |
First Address | San Francisco, CA 94143-0222 |
Second Address | San Francisco, CA 94143-0222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 13/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P37685 | (02) |