| NPI | 1467820316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SMITH Member/Owner 901-219-0816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 0000000040) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |