| NPI | 1114599479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREETI SONI Owner 309-370-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-02-08 |