Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 9182458-3400 | UT |
Y | 176B00000X | Midwife | CW-0000007 | DE |
NPI | 1063931442 |
---|---|
Provider Name | Mrs. Aisha Michelle Al Hajjar |
First Address | Wilmington, DE 19806-4124 |
Second Address | Wilmington, DE 19806-4124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2017 |
Last Update Date | 29/01/2020 |