| NPI | 1730496266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN HOLMBERG Registered Dietitian 203-532-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000762) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-09-03 |