| NPI | 1417624024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI ANN BERES President 443-810-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-09-21 |