Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 043 | NC |
NPI | 1134348212 |
---|---|
Provider Name | Sheriar Lou Dimaggio |
First Address | Carrboro, NC 27510-1150 |
Second Address | Chapel Hill, NC 27514-2656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 08/07/2007 |