| NPI | 1376070615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH M FITZHUGH Owner 219-309-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37000345A) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: 79000014A) |
| 174H00000X Health Educator | |
| 133V00000X Dietitian, Registered (Licence: IL 1640045A) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |