NPI | 1508920109 |
---|---|
Former Name | KAREN EADICICCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: PA MW010033) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010033) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-03-19 |