Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11022018 | TX |
NPI | 1265786586 |
---|---|
Provider Name | Mrs. Betty Hannah Greenman |
First Address | Houston, TX 77071-2608 |
Second Address | Houston, TX 77071-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2012 |
Last Update Date | 08/11/2012 |