| NPI | 1982212981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN M BURNS Owner/ Practitioner 774-263-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |