| NPI | 1831379882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA LILLIE President 703-879-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2004009119) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-09-18 |