Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
Y | 176B00000X | Midwife | 367 | FL |
NPI | 1164769758 |
---|---|
Provider Name | Mary Catherine Hamelin |
First Address | Tampa, FL 33629-6831 |
Second Address | Tampa, FL 33629-6831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2013 |
Last Update Date | 25/06/2019 |