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 |