NPI | 1841540432 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA VAN MIEGHEM Registered Dietitian/Nutritionist 206-902-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 977132) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU 60183469) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2015-09-16 |