| NPI | 1164391579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN FUSTOS Registered Dietitian & Owner 813-590-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |