| NPI | 1801224282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARBIE L WILDER Sole Proprietor 813-748-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5225) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |