Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW209 | FL |
NPI | 1083801369 |
---|---|
Provider Name | Mrs. Karin L Pugh |
First Address | Gainesville, FL 32605-4566 |
Second Address | Gainesville, FL 32605-4566 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 01/10/2007 |