| NPI | 1689160616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA M RICHTER Owner 312-715-7797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60850685) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2019-03-26 |