| NPI | 1760825160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE NOLAN COHN Owner, Registered Dietitian 267-205-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN001488) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2016-09-30 |