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 |