NPI | 1285040386 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA ANNE KERSH Registered Dietitian, Nutritionist 479-651-8547 |
Organization Subpart ? | No |
Primary Taxonomy | 133N00000X Nutritionist (Licence: AR 0449) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2014-08-15 |