NPI | 1013390830 |
---|---|
Former Name | JESSE RACHAL DEVRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NH 069271-23) |
Additional Taxonomies | 174400000X Specialist |
367A00000X Advanced Practice Midwife (Licence: MA RN2321296) | |
Enumeration Date | 2015-06-30 |
Last Update Date | 2020-03-01 |