Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 34017 | KY |
NPI | 1093264723 |
---|---|
Provider Name | Rima Mounla |
First Address | Overland Park, KS 66221-9659 |
Second Address | Overland Park, KS 66221-9659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2016 |
Last Update Date | 22/09/2016 |