Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 03004 | TX |
NPI | 1104127513 |
---|---|
Provider Name | Mary Elizabeth Darling |
First Address | El Paso, TX 79902-2813 |
Second Address | El Paso, TX 79902-2813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2010 |
Last Update Date | 16/11/2010 |