| NPI | 1326318585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NEHER Clinical Nutritionist, Ms 920-358-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2016-01-20 |