Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11287903 | CA |
NPI | 1326386095 |
---|---|
Provider Name | Margaret Muir |
First Address | Santa Cruz, CA 95062-1323 |
Second Address | Santa Cruz, CA 95065-1816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2013 |
Last Update Date | 30/01/2013 |