NPI | 1114783867 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSIE PATTERSON Owner 940-441-2430 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
163WD0400X Registered Nurse, Diabetes Educator | |
Enumeration Date | 2024-02-21 |
Last Update Date | 2024-09-09 |