Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1376994632 |
---|---|
Provider Name | Leah Whitley |
First Address | Houston, TX 77030-1114 |
Second Address | Houston, TX 77030-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2016 |
Last Update Date | 28/06/2016 |