| NPI | 1831887660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANETT MIMS Owner 919-819-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-09-06 |