| NPI | 1396897492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN BRADLEY Certified Diabetes Educator 302-684-0271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE 800530) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: DE 800530) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |