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 |