NPI | 1487930442 |
---|---|
Former Name | JENNIFER LYNN RUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 176B00000X Midwife (Licence: VT 1070081441) |
Additional Taxonomies | 176B00000X Midwife (Licence: VT 107.0081441) |
Enumeration Date | 2011-10-21 |
Last Update Date | 2023-03-01 |