| NPI | 1013489772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN PATRICE BOWERS Administrative COO Rdinator 888-760-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |