| NPI | 1104007368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE RACINE BASTARACHE President 508-295-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MA 143429) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 143429) |
| 367A00000X Advanced Practice Midwife (Licence: MA 275550) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2010-08-03 |