Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-163149 | PA |
NPI | 1093201204 |
---|---|
Provider Name | Kareemah Palace Parker |
First Address | Glenolden, PA 19036-1104 |
Second Address | Bala Cynwyd, PA 19004-1725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2018 |
Last Update Date | 27/12/2021 |