Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | OS-012316 | PA |
NPI | 1134286677 |
---|---|
Provider Name | Dr. Yanick Mary Vibert |
First Address | Philadelphia, PA 19120-2470 |
Second Address | East Norriton, PA 19403-4243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 17/11/2021 |