Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1063824167 |
---|---|
Provider Name | Ms. Kathleen Sauve Chiu |
First Address | Peachtree City, GA 30269-2483 |
Second Address | Peachtree City, GA 30269-2483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2014 |
Last Update Date | 22/05/2014 |