| NPI | 1174807168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA RAE BOSWELL Owner/Dietitian 405-397-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1778) |
| Enumeration Date | 2011-10-08 |
| Last Update Date | 2011-10-10 |