NPI | 1447744313 |
---|---|
Former Name | CATHERINE FANNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MA L-310853) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 86010485) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2023-06-17 |