| NPI | 1093399016 |
|---|---|
| Doing Business As | ELLY WILSON |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WILSON Dietitian 614-304-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |