Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 1598 | MA |
NPI | 1427285337 |
---|---|
Provider Name | Nancy Bronstein |
First Address | Great Barrington, MA 01230-1901 |
Second Address | Great Barrington, MA 01230-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 18/06/2009 |