| NPI | 1467599001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GALLO WILKINSON Founder, President 704-549-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 136A00000X Dietetic Technician, Registered | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-03-08 |