Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224P00000X | Prosthetist | ||
Y | 224P00000X | Prosthetist | MD |
NPI | 1154898732 |
---|---|
Provider Name | Niokie Laws |
First Address | Glen Burnie, MD 21061-3085 |
Second Address | Glen Burnie, MD 21061-3085 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2018 |
Last Update Date | 01/11/2018 |