| NPI | 1003243890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE WILKES Cnm/Owner 208-724-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ID CNM52A) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |