Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | RN2331906 | MA |
NPI | 1114450459 |
---|---|
Provider Name | Ariela M Borkan |
First Address | Somerville, MA 02144-2705 |
Second Address | Somerville, MA 02144-2705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 13/03/2020 |