| NPI | 1609219872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA M SIMONETTI Owner 480-204-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-06-29 |