| NPI | 1235651456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FRANCES BROE Owner/Provider 240-678-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00759) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |