| NPI | 1902307887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MARLIN Registered Dietitian 267-438-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006187) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-12-09 |