Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 15664 | NV |
NPI | 1013070804 |
---|---|
Provider Name | Sandy K Yip |
First Address | Las Vegas, NV 89119-7851 |
Second Address | Las Vegas, NV 89119-7851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 15/07/2019 |