NPI | 1174625149 |
---|---|
Former Name | KAREN S. BAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: IL 209002179) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041164815) |
367A00000X Advanced Practice Midwife (Licence: IL 209002179) | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2012-01-09 |