NPI | 1972575793 |
---|---|
Former Name | STARLA D WILLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NM CNM417) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM R34083) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2019-08-07 |