NPI | 1518409069 |
---|---|
Other Name | SHAYLA WIRTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MO 2017010498) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2017040750) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2023-11-21 |