| NPI | 1124881545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA FIERROS Clinical Dietitian 603-545-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |