Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | G86788 | CA |
Y | 2084N0402X | Child Neurologist | G86788 | CA |
NPI | 1003983032 |
---|---|
Provider Name | Sarah Cheyette |
First Address | Los Altos, CA 94022-1408 |
Second Address | San Carlos, CA 94070-2603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 14/05/2020 |