| NPI | 1730060302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LIDDLE Clinical Operations Administrator 919-213-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |