Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 397 | FL |
NPI | 1174112999 |
---|---|
Provider Name | Malu Critchley |
First Address | North Miami, FL 33161-4822 |
Second Address | North Miami, FL 33161-4822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2021 |
Last Update Date | 15/01/2021 |