| NPI | 1427399229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MUHAMMAD Owner 855-276-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 164.005670) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164.005670) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |