NPI | 1083961866 |
---|---|
Professional Name | KRYSTAL (CHRISTINA) M BOWDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: VA 11163249) |
Enumeration Date | 2012-08-10 |
Last Update Date | 2012-08-10 |