Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 8642 | NV |
N | 207VX0201X | Gynecologic Oncologist | 8642 | NV |
NPI | 1396732988 |
---|---|
Provider Name | Maribel E Monroe |
First Address | Las Vegas, NV 89128-0835 |
Second Address | Las Vegas, NV 89128-0835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 03/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G82021 | (02) | NV |
V103819 | PTAN (01) | NV |