| NPI | 1982225736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA STANTON Registered Dietitian Nutritionist 812-491-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2024-04-03 |