| NPI | 1033917430 |
|---|---|
| Former Legal Business Name | WILD WOMB MIDWIFERY, PLLC |
| Entity Type | Organization |
| Authorized Contact | BRIANA K. HUISMAN Owner 509-703-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |