Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1003284191 |
---|---|
Provider Name | Katherine Hobbs |
First Address | Traverse City, MI 49684-2476 |
Second Address | Traverse City, MI 49684-2476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2015 |
Last Update Date | 08/09/2015 |