Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-108441 | MD |
NPI | 1033654538 |
---|---|
Provider Name | Diana Abell |
First Address | Annapolis, MD 21401-7992 |
Second Address | Annapolis, MD 21401-7992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2016 |
Last Update Date | 20/12/2016 |