| NPI | 1063926509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISA M NORMAN Director Clinical Nutrition 517-795-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86020371) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |