Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-46368 | NC |
NPI | 1376916197 |
---|---|
Provider Name | Ms. Chammee Sarah Anderson |
First Address | Charlotte, NC 28215-7128 |
Second Address | Charlotte, NC 28215-7128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2015 |
Last Update Date | 30/08/2017 |