| NPI | 1174042568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LITTLE Owner 334-329-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 2538) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2022-07-21 |