| NPI | 1629486964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLE BARRETT President 574-217-8372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37001744A) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: IN 37001744A) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |