Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
N | 175M00000X | Lay Midwife |
NPI | 1114424611 |
---|---|
Provider Name | Prof. Delmar Bauta |
First Address | Homestead, PA 15120-2445 |
Second Address | Homestead, PA 15120-2445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2018 |
Last Update Date | 27/06/2020 |