| NPI | 1811504335 |
|---|---|
| Former Name | JACLYN CORRADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006066) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L006066) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NC L006066) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-06-24 |