| NPI | 1548879828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITTANY NICHELLE GIBSON Registered Dietitian 941-524-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |