| NPI | 1417304874 |
|---|---|
| Former Name | JENNIFER L ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN000799) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN000799) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-09-28 |