NPI | 1386308484 |
---|---|
Former Name | MICHELLE LYNN SMAIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: MI 4704330352) |
Additional Taxonomies | 176B00000X Midwife (Licence: MI 4704330352NSA210VU) |
Enumeration Date | 2021-10-25 |
Last Update Date | 2021-12-17 |