| NPI | 1942910021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA PAULINE FORSHEE Owner 185-951-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-07-13 |