| NPI | 1619304847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CHRISTINE MILLER Dietitian 918-551-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1678) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |