| NPI | 1841900172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY DEE WILSON Owner/Member 405-615-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-12-02 |