NPI | 1417306127 |
---|---|
Former Name | VIRGINIA M VERAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374J00000X Doula (Licence: WA 14122) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60827984) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2021-05-04 |