| NPI | 1487880498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LYNN SEVERINI Registered Dietitian 201-519-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 006343) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |