| NPI | 1376244822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN COFFEY Dietitian 860-428-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-06-06 |