| NPI | 1316521370 |
|---|---|
| Former Name | SYMONE STEVIE JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4431) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ND 1207) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: ND 1207) | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-08-13 |