| NPI | 1114391927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MARIE GIBSON Dietitian And Fitness Coach 856-912-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 86008839) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |