| NPI | 1215461223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS PINA Counselor 512-529-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: ZZ BTN PRACTICAL) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |