| NPI | 1104450238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEA BOATSWAIN Owner 202-600-9826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-10-14 |