| NPI | 1598107328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A APA Registered Dietitian 973-696-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |