Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-306115 |
NPI | 1043979339 |
---|---|
Provider Name | Mrs. Anna Louise Spitaleri |
First Address | Bedminster, NJ 07921-2553 |
Second Address | Bedminster, NJ 07921-2553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2021 |
Last Update Date | 14/12/2021 |