| NPI | 1932630571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 716504) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |