Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | WI |
NPI | 1134711773 |
---|---|
Provider Name | Victoria Freund |
First Address | Greenfield, WI 53228-3505 |
Second Address | Greenfield, WI 53228-3505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2021 |
Last Update Date | 02/11/2021 |