Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 150 | WV |
NPI | 1104829977 |
---|---|
Provider Name | Karen Elizabeth Laakaniemi |
First Address | Martinsburg, WV 25402-1146 |
Second Address | Martinsburg, WV 25401-2890 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 31/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P77862 | (02) | WV |