| NPI | 1043601172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MILLER DWYER Member 704-640-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003980) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L003980) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NC L003980) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L003980) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NC L003980) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NC L003980) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |