| NPI | 1255849873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN KOCHENOUR Owner 215-872-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 86023105) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-11-01 |