| NPI | 1487251708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI GROVER Owner 919-360-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2021-04-13 |