Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1043524606 |
---|---|
Provider Name | Julie Guttmann |
First Address | Saint Louis, MO 63146-5329 |
Second Address | Saint Louis, MO 63146-5329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2010 |
Last Update Date | 07/04/2015 |