Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1114686409 |
---|---|
Provider Name | Jennifer Hernandez |
First Address | Brooklyn, NY 11218-5914 |
Second Address | Brooklyn, NY 11218-5914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2021 |
Last Update Date | 14/12/2021 |