Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-86941 | AZ |
NPI | 1366706533 |
---|---|
Provider Name | Bridget Abramson |
First Address | Surprise, AZ 85374-0109 |
Second Address | Surprise, AZ 85379-8117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2012 |
Last Update Date | 16/11/2015 |