Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1164919171 |
---|---|
Provider Name | Elizabeth Larkin |
First Address | Bryn Mawr, PA 19010-2502 |
Second Address | Bryn Mawr, PA 19010-2502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2018 |
Last Update Date | 16/04/2018 |