| NPI | 1780037457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY DICKERMAN Clinical Nutrition Manager 610-420-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN001659) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |