| NPI | 1669251724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACYLEE NICOLE GOTTSCHALK Registered Dietitian 908-230-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-12-10 |