Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | VA0017000483 | VA |
NPI | 1083671598 |
---|---|
Provider Name | Mrs. Donna Frede Vinal |
First Address | Charlottesville, VA 22911-8835 |
Second Address | Charlottesville, VA 22911-8835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 29/06/2013 |