Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 47849 | KY |
Y | 207VX0201X | Gynecologic Oncologist | 47849 | KY |
NPI | 1467741769 |
---|---|
Provider Name | Sarah Louise Todd |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-3229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 16/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100211220 | (05) | KY |