| NPI | 1942953609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNA ZANGER Registered Dietitian Nutritionist 217-316-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |