NPI | 1003055591 |
---|---|
Former Name | BLAKE ELIZABETH RAINIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MA RN283129) |
Additional Taxonomies | 176B00000X Midwife (Licence: MD AC000650) |
176B00000X Midwife (Licence: MA 283129) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN283129) | |
Enumeration Date | 2009-02-07 |
Last Update Date | 2016-04-28 |