| NPI | 1053866970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARCHESE Owner/Registered Dietitian 724-989-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004705) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: GA LD004705) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: GA LD004705) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: GA LD004705) | |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |