Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 2018-00987 | NC |
N | 207VX0201X | Gynecologic Oncologist | Q7251 | TX |
NPI | 1528383163 |
---|---|
Provider Name | Janelle Pakish Darby |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Winston Salem, NC 27157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 06/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
362960201 | (05) | TX |