Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11099905 |
NPI | 1013237254 |
---|---|
Provider Name | Mrs. Sima Leah Duato |
First Address | Oak Park, MI 48237-1362 |
Second Address | Oak Park, MI 48237-1362 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2010 |
Last Update Date | 26/07/2013 |