| NPI | 1992955678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREN BADER Partner 434-962-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: VA 0129000005) |
| Additional Taxonomies | 176B00000X Midwife (Licence: VA 0129000003) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2011-02-08 |