Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-98391 | VT |
NPI | 1134570815 |
---|---|
Provider Name | Dr. Ariel Brewer Louis |
First Address | Woodstock, VT 05091-1320 |
Second Address | Woodstock, VT 05091-1320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2016 |
Last Update Date | 24/06/2016 |