Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 258594 |
NPI | 1164922142 |
---|---|
Provider Name | Rachel Bitner |
First Address | Longwood, FL 32779-4564 |
Second Address | Apopka, FL 32712-2175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2018 |
Last Update Date | 16/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
258594 | ACADEMY OF LACTATION POLICY AND PRACTICE (01) |