| NPI | 1134984933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SUCKOW Owner 702-569-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |