| NPI | 1184176703 |
|---|---|
| Former Name | JESSICA NICOLE YAMASHITA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA RPE 11165) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |