Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1093144347 |
---|---|
Provider Name | Kerri Christie |
First Address | Phoenix, AZ 85032-1213 |
Second Address | Phoenix, AZ 85032-1213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2013 |
Last Update Date | 08/09/2016 |