| NPI | 1366015414 |
|---|---|
| Former Name | JACQUELYN NICOLE MARINCOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 253818) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-10-25 |