Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-27193 |
NPI | 1326100322 |
---|---|
Provider Name | Kathleen J Murphy |
First Address | Ithaca, NY 14850-1055 |
Second Address | Ithaca, NY 14850-1055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 06/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02668880 | (05) | NY |