| NPI | 1912367681 |
|---|---|
| Former Name | JUSSARA MARISA MADRID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK LD2121) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6564) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-05-29 |