| NPI | 1316205016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HARRINGTON ULRICH Owner 719-375-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: 956457) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |