Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM311 | CA |
NPI | 1033664461 |
---|---|
Provider Name | Nancy Baird |
First Address | San Diego, CA 92138-4055 |
Second Address | San Diego, CA 92110-3212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2016 |
Last Update Date | 10/02/2020 |