Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1023604238 |
---|---|
Provider Name | Mrs. Laura Ann Rime |
First Address | New City, NY 10956-1602 |
Second Address | New City, NY 10956-1602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2020 |
Last Update Date | 12/12/2020 |