Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM#15 | CA |
NPI | 1063551968 |
---|---|
Provider Name | Karni Seymour Brown |
First Address | Ventura, CA 93001-2902 |
Second Address | Ventura, CA 93001-2902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 18/01/2010 |