Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM92 | CA |
NPI | 1023241189 |
---|---|
Provider Name | Ms. Denise Ann Gilpin |
First Address | Irvine, CA 92618-3837 |
Second Address | Irvine, CA 92618-3837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2009 |
Last Update Date | 24/08/2009 |