Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1215438973 |
---|---|
Provider Name | Jennifer Mueller |
First Address | Washington, DC 20003-3014 |
Second Address | Washington, DC 20003-3014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2018 |
Last Update Date | 28/03/2019 |