Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 081083 | GA |
NPI | 1033514419 |
---|---|
Provider Name | Sahyli Perez Parra |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2014 |
Last Update Date | 03/08/2018 |