NPI | 1760215552 |
---|---|
Former Name | STEPHANIE JOY CORTEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 12655) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: FL 12655) |
Enumeration Date | 2024-08-26 |
Last Update Date | 2024-08-26 |