| NPI | 1255101440 |
|---|---|
| Professional Name | JENNIFER POWELL BOLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 0893849) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |