| NPI | 1396840856 |
|---|---|
| Former Name | ELYSE MARIE TYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX dto5996) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-02-21 |