Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-23836 | PA |
NPI | 1043719412 |
---|---|
Provider Name | Dr. Cathy La Torre |
First Address | Perkasie, PA 18944-4105 |
Second Address | Perkasie, PA 18944-4105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2018 |
Last Update Date | 12/02/2018 |