| NPI | 1033361274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO PULS Registered And Licensed Dietitian 918-430-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |