Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1275284440 |
---|---|
Provider Name | Mrs. Sarah Hastings |
First Address | Haddonfield, NJ 08033-3820 |
Second Address | Haddonfield, NJ 08033-3820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2022 |
Last Update Date | 10/01/2022 |