Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | NMW1543 | CA |
N | 176B00000X | Midwife | RN458848 | CA |
NPI | 1023090305 |
---|---|
Provider Name | Ms. Inge H Taylor |
First Address | San Diego, CA 92111-6339 |
Second Address | San Diego, CA 92111-6339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 08/07/2007 |