Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-165844 | MI |
NPI | 1073141016 |
---|---|
Provider Name | Natosha A Sage-El |
First Address | Holt, MI 48842-1958 |
Second Address | Lansing, MI 48906-5004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2020 |
Last Update Date | 27/03/2020 |