| NPI | 1558698613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL KING CEO 734-444-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered (Licence: MI 800034) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2020-06-22 |