Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 446 | MN |
NPI | 1104420777 |
---|---|
Provider Name | Aubrey Joy Monson |
First Address | Minneapolis, MN 55407-3706 |
Second Address | Saint Paul, MN 55107-2620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2020 |
Last Update Date | 16/11/2021 |