| NPI | 1710666888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA FITZGERALD Owner 224-360-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |