| NPI | 1386267631 |
|---|---|
| Former Name | CAITLIN JO JACOBSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: RI 86070211) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 86070211) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |