NPI | 1134487507 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN METZGER Registered Dietitian 860-659-4656 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000593) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-04-24 |