Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 09561 | NV |
NPI | 1639311368 |
---|---|
Provider Name | Pamela Elizabeth Palmer |
First Address | Las Vegas, NV 89131-3416 |
Second Address | Las Vegas, NV 89131-3416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2009 |
Last Update Date | 26/03/2009 |