| NPI | 1912447434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN B JACKSON Owner, Administrator 253-509-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP30003731) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |