Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11190579 | CA |
NPI | 1013293455 |
---|---|
Provider Name | Mrs. Chrisie Rosenthal |
First Address | Sherman Oaks, CA 91423-2718 |
Second Address | Sherman Oaks, CA 91423-2718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2011 |
Last Update Date | 31/10/2011 |