| NPI | 1043028509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE WANSTREET Sports Dietitian 405-985-1417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |