Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1346682283 |
---|---|
Provider Name | Mrs. Anita Michelle Byrd |
First Address | Catonsville, MD 21228-5808 |
Second Address | Catonsville, MD 21228-5808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2013 |
Last Update Date | 19/07/2013 |