| NPI | 1306300660 |
|---|---|
| Former Name | LAUREN MAYNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 009689) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2025-04-18 |