| NPI | 1386347144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PEKIN Member 540-709-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |