| NPI | 1275956062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOHNSTON Owner And Dietitian 405-509-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1559) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2017-03-23 |