Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 2015-02309 | NC |
NPI | 1003176025 |
---|---|
Provider Name | Dayarmys Piloto De La Paz |
First Address | Greensboro, NC 27438-8511 |
Second Address | Greensboro, NC 27455-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2012 |
Last Update Date | 19/12/2015 |