| 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 |