Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A71266 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | A71266 | CA |
NPI | 1588706741 |
---|---|
Provider Name | Ruth Lathi |
First Address | Palo Alto, CA 94304-1805 |
Second Address | Palo Alto, CA 94304-1805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 27/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H16668 | (02) | CA |