NPI | 1659732600 |
---|---|
Former Name | MARY JOSEPHINE TOOTHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024173448) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0024173448) |
367A00000X Advanced Practice Midwife (Licence: WA AP60753690) | |
Enumeration Date | 2016-03-17 |
Last Update Date | 2024-02-05 |