| NPI | 1043007636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIM B D 929-466-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 132700000X Dietary Manager |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| 133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |