| NPI | 1356162895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA KATHERINE CARPENTER Owner 334-740-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-22 |