Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L32224 | ZZ |
NPI | 1013554732 |
---|---|
Provider Name | Mrs. Keren Talmor |
First Address | Closter, NJ 07624-1105 |
Second Address | Closter, NJ 07624-1105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2019 |
Last Update Date | 01/12/2019 |