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 |