NPI | 1568099471 |
---|---|
Other Name | STEPHANY VENERO SHIMABUKURO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3640) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000865) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2021-06-03 |