Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-305723 |
NPI | 1144973892 |
---|---|
Provider Name | Kathleen Farmer |
First Address | San Francisco, CA 94112-2343 |
Second Address | San Francisco, CA 94112-2343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2022 |
Last Update Date | 02/02/2022 |