| NPI | 1942952890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON HAEBIG Registered Dietitian Nutritionist 920-539-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |