Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | PTL5997 | CA |
NPI | 1003445610 |
---|---|
Provider Name | Somaira Nowsheen |
First Address | San Diego, CA 92122-1010 |
Second Address | San Diego, CA 92122-1010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2020 |
Last Update Date | 17/11/2021 |