Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1164887790 |
---|---|
Provider Name | Catherine Martin |
First Address | Baldwin City, KS 66006-9221 |
Second Address | Baldwin City, KS 66006-9221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2015 |
Last Update Date | 26/12/2015 |