| NPI | 1992204564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE C GENTHNER Quality Coordinator 443-652-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD D01213) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |