| NPI | 1013453828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN THOMPSON Cpc 334-377-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AL pa 1157) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |