Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 0129000039 | VA |
NPI | 1043462666 |
---|---|
Provider Name | Miss Laura Elizabeth Yoder |
First Address | Virginia Beach, VA 23464 |
Second Address | Virginia Beach, VA 23464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2008 |
Last Update Date | 10/10/2012 |