| NPI | 1255566253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANNETTE DONOVAN Owner 860-930-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT 0000139) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |