| NPI | 1902403694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALENA MOWDAY Crs 215-590-2897 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-02-10 |