Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1144487166 |
---|---|
Provider Name | Michelle Stolow |
First Address | Maynard, MA 01754-1753 |
Second Address | Maynard, MA 01754-1753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 24/05/2011 |