| NPI | 1932879152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL DUNHAM Registered Dietitian Nutritionist 918-539-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2024-05-17 |