Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-301407 |
NPI | 1285225607 |
---|---|
Provider Name | Mrs. Nalini Ghisiawan Dass |
First Address | Sun City Center, FL 33573 |
Second Address | Wimauma, FL 33598-4439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2021 |
Last Update Date | 28/01/2021 |