| NPI | 1811247158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L OULLETTE Owner 281-394-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80576) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-10-09 |