Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | LM0000129 | DE |
NPI | 1164638714 |
---|---|
Provider Name | Miss Pik-Kwan Chow |
First Address | Wilmington, DE 19803-5328 |
Second Address | Newark, DE 19718-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MC1253575 | DEA (01) | |
RXAPN3530 | DCS LICENSE (01) | DE |