Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
Y | 175M00000X | Lay Midwife |
NPI | 1114540168 |
---|---|
Provider Name | Brooke Edghill |
First Address | Brooklyn, NY 11224-2242 |
Second Address | Brooklyn, NY 11224-2242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2020 |
Last Update Date | 26/05/2020 |