Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1003-10 | DE |
NPI | 1134451511 |
---|---|
Provider Name | Patricia Gallagher |
First Address | Dover, DE 19904-4713 |
Second Address | Dover, DE 19904-4713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2010 |
Last Update Date | 09/02/2010 |