Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | NV |
NPI | 1033444179 |
---|---|
Provider Name | Kathya Delaquila |
First Address | North Las Vegas, NV 89084-1244 |
Second Address | North Las Vegas, NV 89084-1244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2009 |
Last Update Date | 07/10/2009 |