Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1164769592 |
---|---|
Provider Name | Mrs. Emily Heldt |
First Address | Aumsville, OR 97325-8996 |
Second Address | Aumsville, OR 97325-8996 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2013 |
Last Update Date | 04/01/2013 |