Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 00000225 | WA |
NPI | 1104940543 |
---|---|
Provider Name | Michelle Renee Sarju |
First Address | Seattle, WA 98112-4718 |
Second Address | Seattle, WA 98112-3050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |