| NPI | 1558730960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BAEHMAN Clinical Nutritionist/Owner 920-358-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |