| NPI | 1447895271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA GROSS Owner 940-241-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2021-07-28 |