Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | L.M.0027 | CA |
NPI | 1164666319 |
---|---|
Provider Name | Anne Sommers |
First Address | Murrieta, CA 92564-1042 |
Second Address | Corona, CA 92878-9500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2009 |
Last Update Date | 30/04/2009 |