| NPI | 1720365752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DUNN-MCDERMOTT GREEN Clinical Dietitian Ii 501-364-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: AR 1022) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |