NPI | 1144451428 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE ANN BURMAN Owner 5651-789-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
133VN1005X Dietitian, Registered, Nutrition, Renal | |
133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
Enumeration Date | 2009-08-04 |
Last Update Date | 2009-08-04 |