Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | G54726 | CA |
NPI | 1427125533 |
---|---|
Provider Name | Ms. Virginia Marie Schaaf |
First Address | Novato, CA 94947-4334 |
Second Address | Greenbrae, CA 94904-1702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 08/07/2007 |