Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW154 | FL |
NPI | 1063514263 |
---|---|
Provider Name | Christina M Holmes |
First Address | Sarasota, FL 34232-5027 |
Second Address | Sarasota, FL 34232-5027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 14/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012758400 | (05) | FL |