| NPI | 1457603359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALLIA LASTOVKA Owner 215-716-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004974) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2023-09-08 |