Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 364 | CA |
NPI | 1033452214 |
---|---|
Provider Name | Caroline Dubay Cusenza |
First Address | Monterey, CA 93940-5798 |
Second Address | Monterey, CA 93940-5798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2013 |
Last Update Date | 10/03/2021 |