| NPI | 1053617696 |
|---|---|
| Other Name | TREE OF LIFE BIRTH AND GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | KALEEN R RICHARDS Owner 407-929-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL 9170873) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2024-11-20 |