| NPI | 1295068757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LUCCA Licensed Dietitian 314-814-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MO 2009014930) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |