| NPI | 1134711278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE ANN MARLOW Owner 678-925-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2022-04-22 |