Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99147 | TX |
NPI | 1083989263 |
---|---|
Provider Name | Rosetta Schwartz |
First Address | Cleburne, TX 76033-3816 |
Second Address | Cleburne, TX 76033-3816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 20/03/2012 |