Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 20862 | NV |
NPI | 1093134777 |
---|---|
Provider Name | Felicia Daniels |
First Address | Las Vegas, NV 89145-0397 |
Second Address | Las Vegas, NV 89109-2317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 11/09/2021 |