NPI | 1053669150 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA JOLANDA BRATHWAITE President 786-234-2184 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND4594) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND4594) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2012-08-21 |