Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1225450174 |
---|---|
Provider Name | Mrs. Rachel Simpson |
First Address | Marblehead, MA 01945-3135 |
Second Address | Marblehead, MA 01945-3135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2014 |
Last Update Date | 13/01/2014 |