| NPI | 1417237942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MAILLIS Midwife Lm, Cpm 575-751-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NM 09060R) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NM 09064R) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |