| NPI | 1568252856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICOLE PUGH Owner, Registered Dietitian 208-607-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |