Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 572673 | CA |
NPI | 1235451501 |
---|---|
Provider Name | Karen Rapoport |
First Address | Redondo Beach, CA 90278-4224 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2010 |
Last Update Date | 31/03/2013 |