| NPI | 1689168825 |
|---|---|
| Former Name | JASMINE ELIZABETH GINGRAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-09-11 |