Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-14274 |
NPI | 1144854787 |
---|---|
Provider Name | Sarah Elizabeth Ortega |
First Address | Reno, NV 89502-6406 |
Second Address | Reno, NV 89502-6406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2020 |
Last Update Date | 22/02/2020 |