| NPI | 1841672292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA SPENCER Member Manager 704-905-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L004066) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-08-11 |