| NPI | 1669868675 |
|---|---|
| Former Name | JENNIFER LYNN HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 0762) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN004921) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |