| NPI | 1790526358 |
|---|---|
| Former Name | JACQUELINE SHERRY BARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X (Licence: OK 3512610284) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: OK 3512610284) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |