| NPI | 1730578246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KANDELL KOTLER Owner 480-251-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2016-02-19 |