Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | MI |
NPI | 1356938005 |
---|---|
Provider Name | Bianca Niecole Nash-Miot |
First Address | Covert, MI 49043-9526 |
Second Address | Covert, MI 49043-9526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2020 |
Last Update Date | 29/12/2020 |