Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1174874499 |
---|---|
Provider Name | Norma Ortiz Escobar |
First Address | Wilmington, NC 28401-6600 |
Second Address | Wilmington, NC 28401-6600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2012 |
Last Update Date | 26/09/2012 |