| NPI | 1720245285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A V LAVERY Owner 517-796-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704183182) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-01-24 |