| NPI | 1508377896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE MCCUNE Credentialing COO Rdinator 567-585-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |