| NPI | 1902009475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MARIE BOOTH Independent Contractor & Proprietor 616-929-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 723477) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-06-19 |