Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F000665 | NY |
NPI | 1033215785 |
---|---|
Provider Name | Janet Titmus |
First Address | Forest Hills, NY 11375-4763 |
Second Address | Forest Hills, NY 11375-4763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |