| NPI | 1770104283 |
|---|---|
| Former Name | SIERRA JACQUELYNN MENDENHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: SC LRD2062RD) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-05-03 |