Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-56590 | VA |
NPI | 1043606643 |
---|---|
Provider Name | Amber Allgaier |
First Address | Arlington, VA 22207-1947 |
Second Address | Arlington, VA 22207-1947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2015 |
Last Update Date | 21/03/2018 |