| NPI | 1083060305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K DRAKE Registered Dietitian 720-490-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 00803604) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |