Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1134586001 |
---|---|
Provider Name | Kristen Rosin |
First Address | Austin, TX 78757-2250 |
Second Address | Austin, TX 78757-2250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2016 |
Last Update Date | 24/01/2016 |