| NPI | 1154683142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J PETTY Managing Member 401-783-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI LDN00697) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |