| NPI | 1801033642 |
|---|---|
| Former Name | JENNIFER MARIE SKOOG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2602) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK 218) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2019-10-01 |