| NPI | 1982074761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ENGLISH Owner 814-706-8518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004842) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: PA DN004842) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: PA DN004842) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PA DN004842) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: PA DN004842) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2017-10-24 |