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 |