Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW008103L | PA |
NPI | 1033173208 |
---|---|
Provider Name | Barbara E Smith |
First Address | Hershey, PA 17033-0854 |
Second Address | Hershey, PA 17033-2003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 29/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S17673 | (02) |