Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | MA |
NPI | 1295305589 |
---|---|
Provider Name | Penelope M Kraniotakis |
First Address | Brooklyn, NY 11206-7809 |
Second Address | Brooklyn, NY 11206-7809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2021 |
Last Update Date | 29/06/2021 |