| NPI | 1467994707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN JOHANSEN Owner 515-554-3804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: WA 604014563) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2018-10-02 |