| NPI | 1295058071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERPETUA DELRINE FERNANDO Registered Dietitian 260-487-9983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37001987A) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |