| NPI | 1427773498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY EAVES Clinician 317-999-7853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |