| NPI | 1306211354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE URNESS Registered Dietitian 406-580-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-43156) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |