| NPI | 1093422099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNER YODER Registered Dietitian 260-479-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |