| NPI | 1447796016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M HOLMES ROBERTS Owner 515-689-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 86059632) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |