NPI | 1669840575 |
---|---|
Entity Type | Organization |
Authorized Contact | JANELL M PETTRY Office Manager 309-621-4604 |
Organization Subpart ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209013293) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |