Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 95095092 | CA |
NPI | 1003369471 |
---|---|
Provider Name | Sarah Bottomley |
First Address | San Francisco, CA 94111-3723 |
Second Address | San Francisco, CA 94107-4132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2016 |
Last Update Date | 06/01/2020 |