| NPI | 1952737124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GETTY E ISRAEL Executive Director 769-572-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 174H00000X Health Educator | |
| 174N00000X Lactation Consultant, Non-RN | |
| 207R00000X Internal Medicine (Licence: MS 12329) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2014-02-18 |