| NPI | 1568123495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TURNER Owner 414-840-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-03 |