Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 0024169882 | VA |
NPI | 1164795217 |
---|---|
Provider Name | Kari L Somers |
First Address | Fishersville, VA 22939-2348 |
Second Address | Fishersville, VA 22939-2348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2012 |
Last Update Date | 21/02/2012 |