Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-34697 | WY |
NPI | 1164845491 |
---|---|
Provider Name | Patricia Usher |
First Address | Big Horn, WY 82833-0644 |
Second Address | Sheridan, WY 82801-9568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2014 |
Last Update Date | 22/01/2014 |