| NPI | 1780977678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN B MASHAK Midwife 208-599-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: ID MIDGM-31) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |