| NPI | 1376949057 |
|---|---|
| Former Name | JENNIFER LYNN PYSAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 2123) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 001142) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2021-03-08 |