Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 496 | CA |
NPI | 1063942118 |
---|---|
Provider Name | Sarah Kathryn Loughmiller |
First Address | Soulsbyville, CA 95372-0856 |
Second Address | Twain Harte, CA 95383 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2017 |
Last Update Date | 16/06/2018 |