Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-46736 | OK |
NPI | 1205259850 |
---|---|
Provider Name | Ruth Schmidt - Baker |
First Address | Oklahoma City, OK 73126-8838 |
Second Address | Tulsa, OK 74135-2527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2014 |
Last Update Date | 31/01/2014 |