NPI | 1811641319 |
---|---|
Former Name | JENEVIEVE LEE BAYLESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MT NUR-APRN-LIC-192285) |
Enumeration Date | 2022-02-04 |
Last Update Date | 2024-04-10 |