| NPI | 1295386001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASHEERAH ENAHORA Registered Dietitian And CEO 704-380-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |