| NPI | 1295978138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L GILBERT-HENDERSON Owner 850-566-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND2623) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |