Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN001602 | NV |
NPI | 1134555865 |
---|---|
Provider Name | Rowena Hipolito Dela Cruz |
First Address | Las Vegas, NV 89135-5008 |
Second Address | Las Vegas, NV 89135-5008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2013 |
Last Update Date | 26/09/2013 |