Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1255622668 |
---|---|
Provider Name | Awtar Kaur Khalsa |
First Address | San Francisco, CA 94117-2921 |
Second Address | San Francisco, CA 94117-2921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2011 |
Last Update Date | 20/04/2011 |