NPI | 1124448998 |
---|---|
Entity Type | Organization |
Authorized Contact | NIMA BOUSHERI President & Chief Wellness Officer 832-867-4115 |
Organization Subpart ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX #DT83193) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2014-04-21 |