| NPI | 1073743084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SHARKEY Manager, Professional Fee Billing 443-777-6827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-10-28 |