| NPI | 1164140273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY KRISTEN ACORNLEY Owner, Registered Dietitian 267-626-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |