NPI | 1245520295 |
---|---|
Former Name | PRISCILLA DENISE HOGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: TX 99456) |
Additional Taxonomies | 174400000X Specialist (Licence: TX mt0022300) |
225700000X Massage Therapist (Licence: TX MT0022300) | |
374J00000X Doula (Licence: TX 12644) | |
Enumeration Date | 2011-04-11 |
Last Update Date | 2022-04-05 |