Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | R131731 | MD |
NPI | 1053318949 |
---|---|
Provider Name | Ms. Gigi Francesca Moore Shive |
First Address | Baltimore, MD 21210-1002 |
Second Address | Towson, MD 21204-7607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 30/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P31768 | (02) |