| NPI | 1659736023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA GHANI Clinic Manager 901-647-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |