| NPI | 1336988096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAISIE LABRIE OSTRYE Registered Dietitian 207-200-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |