Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1316460678 |
---|---|
Provider Name | Wendi Woollens |
First Address | Winter Garden, FL 34787-2940 |
Second Address | Winter Garden, FL 34787-2940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2017 |
Last Update Date | 19/07/2017 |