| NPI | 1760598304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE KAY NECKERS Office Manager 765-282-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37000837A) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |