Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1154795664 |
---|---|
Provider Name | Esther Snider |
First Address | Crimora, VA 24431-2311 |
Second Address | Crimora, VA 24431-2311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2015 |
Last Update Date | 16/02/2017 |