| NPI | 1700145992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHERINE MUMFORD HALEY Owner 4019-656-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: RI MW00103) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: RI 36953) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |