Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1376117192 |
---|---|
Provider Name | Tasia Gerral Stewart |
First Address | New Orleans, LA 70122-3925 |
Second Address | New Orleans, LA 70122-3925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2021 |
Last Update Date | 17/05/2021 |