| NPI | 1366205593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MCRAE MITTNACHT Owner/ Registered Dietitian 617-942-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |