Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 11935 | NV |
NPI | 1568481828 |
---|---|
Provider Name | Camille A Falkner |
First Address | Las Vegas, NV 89126-9502 |
Second Address | Henderson, NV 89015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 21/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100510111 | (05) | NV |