| NPI | 1750876108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR M. DUARTE Credentialing 869-552-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 1227232) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |