Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1043683220 |
---|---|
Provider Name | Dorothy Kane |
First Address | Brookeville, MD 20833-3285 |
Second Address | Brookeville, MD 20833-3285 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2015 |
Last Update Date | 10/11/2015 |