| NPI | 1467985614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE MARTIN Registered Dietitian 860-652-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000781) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2018-01-11 |