Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-56274 | OH |
NPI | 1356783302 |
---|---|
Provider Name | Mrs. Natashia Conner |
First Address | Cincinnati, OH 45239-1804 |
Second Address | Cincinnati, OH 45239-4713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2013 |
Last Update Date | 19/08/2017 |