| NPI | 1588852115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY RATKY Billing Manager 907-262-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AK 5721) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-03-18 |