Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-108390 | PA |
NPI | 1225563075 |
---|---|
Provider Name | Erin Sheridan |
First Address | Haddon Heights, NJ 08035-1294 |
Second Address | Haddon Township, NJ 08108-2825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2017 |
Last Update Date | 09/10/2018 |