| NPI | 1881358745 |
|---|---|
| Former Name | AMBER MARIE PELLETIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86081222) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO 311226) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2022-11-08 |