| NPI | 1073883799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GANGINIS Dietitian 301-213-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC DI100000482) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX2769) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-12 |