| NPI | 1952672578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LYNN BROOKS Dietitian, Cde 806-252-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT07317) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |