NPI | 1063746394 |
---|---|
Former Name | NEDRA WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: CO MWR114) |
Additional Taxonomies | 176B00000X Midwife (Licence: AZ 0153) |
Enumeration Date | 2009-09-18 |
Last Update Date | 2019-11-06 |