| NPI | 1992250484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HICKEY Registered Dietititan 303-435-3274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 873000) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |