Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM544 | CA |
NPI | 1144851510 |
---|---|
Provider Name | Donna Lynn Irwin |
First Address | Vista, CA 92083-6208 |
Second Address | Vista, CA 92083-6208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2020 |
Last Update Date | 03/02/2020 |