Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 237137 | OK |
NPI | 1205290012 |
---|---|
Provider Name | Kristina Amiraslani |
First Address | Edmond, OK 73034-6108 |
Second Address | Edmond, OK 73034-6108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2016 |
Last Update Date | 07/04/2016 |