| NPI | 1942463203 |
|---|---|
| Former Name | TRACEY ELAINE THORNTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: R711523) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 80) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |