| NPI | 1811126980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY K SINIBALDI Owner/ Registered Dietitian 302-897-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: DE 208206179) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |