| NPI | 1619374709 |
|---|---|
| Former Name | JENNIFER CAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 957472) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 1921) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |