| NPI | 1295468171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATOYA BAKER Manager 773-807-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 174H00000X Health Educator |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2023-07-26 |