| NPI | 1235900911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJA DESA FARIN Member, Midwife 920-915-8951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |