Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1326463225 |
---|---|
Provider Name | Natalie Gasser |
First Address | Wauwatosa, WI 53226-3612 |
Second Address | Wauwatosa, WI 53226-3612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2014 |
Last Update Date | 28/02/2014 |