Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11067392 |
NPI | 1023487931 |
---|---|
Provider Name | Sarah Fulop-Furlano |
First Address | Santa Cruz, CA 95062-2214 |
Second Address | Santa Cruz, CA 95062-2214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2015 |
Last Update Date | 21/09/2015 |