| NPI | 1780928804 |
|---|---|
| Former Name | TARA LYNN FLINT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 1018821) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L003743) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2014-06-30 |