| NPI | 1366015414 |
|---|---|
| Former Name | JACQUELYN NICOLE MARINCOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002669) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2025-08-18 |