| NPI | 1366981193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIONA MCKIERNAN Registered Dietitian 765-413-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 997655) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |