| Doctor Name: | GERTRUDE MARY SELIG |
| NPI Number: | 1245497494 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | 106-22486 |
| Business Practice Address: | 12000 Mccracken Rd Suite 210 Garfield Heights, OH - 441252964 |
| Business Phone Number: | 2165844354 |
| Business Fax Number: | 2165844355 |
| Mailing Address: | 12000 Mccracken Rd, Suite 210 GARFIELD HEIGHTS |
| State: | OH |
| Postal Code: | 441252964 |
| Phone Number: | 2165844354 |
| Fax Number: | 2165844355 |
| NPI Enumeration Date: | 05/16/2008 |
| NPI Last Update Date: | 05/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 106-22486 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |