NPI | 1750351672 |
---|---|
Former Name | DIANNE ROGERS LYTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: PA MW008100L) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ME R018721) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2007-07-08 |