Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1336737758 |
---|---|
Provider Name | Elizabeth Adams |
First Address | Indialantic, FL 32903-4523 |
Second Address | Indialantic, FL 32903-4523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2021 |
Last Update Date | 03/01/2021 |