Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 4704215011 | MI |
NPI | 1033347661 |
---|---|
Provider Name | Sinead Carmel Licari |
First Address | Ann Arbor, MI 48103-4530 |
Second Address | Ann Arbor, MI 48103-4530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 01/03/2010 |