Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1124166764 |
---|---|
Provider Name | Erika Christina Beecher |
First Address | Worcester, MA 01609-2147 |
Second Address | Worcester, MA 01609-2147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2007 |
Last Update Date | 08/07/2007 |