| NPI | 1629462338 |
|---|---|
| Former Name | JACLYN BURM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 962664) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: AZ 962664) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: AZ 962664) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: AZ 962664) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |