| NPI | 1588859847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE A GORMAN Executive Nutrition Consultant 612-240-4196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2244) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |