| NPI | 1992428809 |
|---|---|
| Former Name | JORDAN CAMILLE PRATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86210366) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-316372) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-06-24 |