Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1073828133 |
---|---|
Provider Name | Mrs. Edith Erber |
First Address | River Forest, IL 60305-1034 |
Second Address | River Forest, IL 60305-1034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2010 |
Last Update Date | 08/04/2011 |