| NPI | 1720564057 |
|---|---|
| Former Name | JENNA CATHERINE BAUTCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4093) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-10-31 |