Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN456729 | CA |
NPI | 1053480756 |
---|---|
Provider Name | Svetka Grskovic |
First Address | San Francisco, CA 94115-3416 |
Second Address | San Francisco, CA 94115-3416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 03/01/2022 |