| NPI | 1790031300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WALD Chief Operating Officer 888-657-2560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse Diabetes Educator |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |