NPI | 1023828829 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIRABE LOWRY Registered Dietitian Owner 612-842-9230 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-14 |