Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 198-15181 | TX |
NPI | 1184918773 |
---|---|
Provider Name | Mrs. Maribeth Cialli Smith |
First Address | Houston, TX 77002-8701 |
Second Address | Houston, TX 77002-8598 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2011 |
Last Update Date | 03/11/2011 |