| NPI | 1376780080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITA HOLL Registered Dietician 203-234-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000020) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |