| NPI | 1083421192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET HERIN Dietian 901-288-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-29 |