Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1326534892 |
---|---|
Provider Name | Natalie Gates |
First Address | Denver, CO 80227-3588 |
Second Address | Denver, CO 80219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2018 |
Last Update Date | 29/07/2018 |