| NPI | 1194392712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SUND Cnm 406-212-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-11 |