| NPI | 1659593168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BANISTER Owner Manager 405-755-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: OK 251) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-02-17 |