Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11134212 | MD |
NPI | 1124395355 |
---|---|
Provider Name | Mrs. Katherine Linda |
First Address | Baltimore, MD 21204-3529 |
Second Address | Baltimore, MD 21210-1806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2011 |
Last Update Date | 12/01/2021 |