NPI | 1861656621 |
---|---|
Former Name | ALISSA ZEA MCMAKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 200850069) |
Additional Taxonomies | 176B00000X Midwife (Licence: OR 200850069Np NMNP) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2021-12-30 |