Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1336431444 |
---|---|
Provider Name | Erica Charpentier |
First Address | Mount Kisco, NY 10549-2942 |
Second Address | Mount Kisco, NY 10549-2942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2011 |
Last Update Date | 08/05/2011 |