| NPI | 1114425402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA JODY Registered Dietitian 859-358-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 1160) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2023-02-07 |