NPI | 1154500056 |
---|---|
Former Name | MATTIE BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN9369604) |
Additional Taxonomies | 176B00000X Midwife (Licence: FL MW206) |
367A00000X Advanced Practice Midwife (Licence: LA AP08269) | |
367A00000X Advanced Practice Midwife (Licence: VA 0024170143) | |
Enumeration Date | 2007-10-26 |
Last Update Date | 2020-10-26 |