| NPI | 1023585999 |
|---|---|
| Former Name | JACLYN BRITTANY GAYLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86076553) |
| Additional Taxonomies | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management (Licence: 86076553) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2020-09-05 |