| NPI | 1346504255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE R BLOKKUM Owner 281-395-6652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 256351) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |