| NPI | 1295468171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PLANO Credentialing Company 203-671-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 174H00000X Health Educator | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2025-08-15 |