NPI | 1881939130 |
---|---|
Former Name | JOHANNA MARCELA CUESTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85850) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 1101653) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2019-04-16 |