NPI | 1245248871 |
---|---|
Former Name | SHAWN MARIE MIODEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL ARNP9291971) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9291971) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9291971) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2023-06-14 |