| NPI | 1174389910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA NICOLE GOODELL Owner Cnm 620-480-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Additional Taxonomies | 261QB0400X Clinic/Center Birthing |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-03-08 |