Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | N/A | MI |
NPI | 1154567881 |
---|---|
Provider Name | Ms. Linda Rae Honey |
First Address | Detroit, MI 48205-1337 |
Second Address | Detroit, MI 48205-1337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2008 |
Last Update Date | 30/12/2008 |