| NPI | 1841623097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELIZABETH AHMED Nutritionist 336-420-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NC L002793) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-12-02 |