Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 27873 | CO |
NPI | 1164726972 |
---|---|
Provider Name | Ms. Kristy Truesdale |
First Address | Aurora, CO 80017-4025 |
Second Address | Aurora, CO 80017-4025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2011 |
Last Update Date | 06/02/2013 |