Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | NJ |
NPI | 1194302968 |
---|---|
Provider Name | Ms. Astrid Hufnagel |
First Address | Montclair, NJ 07042-3213 |
Second Address | Montclair, NJ 07042-3213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2021 |
Last Update Date | 26/03/2021 |