| NPI | 1558174482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MILITANO Registered Sports Dietitian 757-401-4024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2026-03-19 |