NPI | 1114405297 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN EMMINGER Registered Dietitian, Owner 317-407-4629 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37002679A) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |