| NPI | 1811756075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA KATHRYN OLSEN Owner, Registered Dietitian 262-331-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |