| NPI | 1669650446 |
|---|---|
| Former Name | TRACI JEANETTE. JERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.6187) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LP.10285-A) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2017-08-18 |