Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11120550 | NM |
NPI | 1134518723 |
---|---|
Provider Name | Silvina Makk |
First Address | Las Cruces, NM 88004-6688 |
Second Address | Las Cruces, NM 88011-4837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2015 |
Last Update Date | 20/01/2015 |