| NPI | 1447672357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALATHI ELLIS Provider/Owner 972-406-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX CNM1795) |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2015-07-27 |