Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM224 | AZ |
NPI | 1083268114 |
---|---|
Provider Name | Rachel J Walsh |
First Address | Tucson, AZ 85750-1619 |
Second Address | Tucson, AZ 85750-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2019 |
Last Update Date | 26/07/2019 |