| NPI | 1821438078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE MASTERSON President 239-734-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL nd429) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL nd332) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |