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) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2023-08-22 |