| NPI | 1275465486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH BOYL Owner 989-798-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |