Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW31 | FL |
NPI | 1083644009 |
---|---|
Provider Name | Ms. Lillian Alicia Sanpere |
First Address | Tallahassee, FL 32303-6208 |
Second Address | Tallahassee, FL 32303-6208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 06/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340008500 | (05) | FL |