Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 310148 | MA |
NPI | 1346812302 |
---|---|
Provider Name | Mrs. Caitlin Ann Inglis |
First Address | Boston, MA 02135-2622 |
Second Address | North Cambridge, MA 02140-1303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2021 |
Last Update Date | 10/07/2021 |