Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 215 | CA |
NPI | 1144460403 |
---|---|
Provider Name | Elizabeth Bachner |
First Address | Los Angeles, CA 90026-2168 |
Second Address | Los Angeles, CA 90026-2168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2009 |
Last Update Date | 01/05/2015 |