| NPI | 1710613609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARIEL GRULLON Registered Dietitian 201-446-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |