| NPI | 1417290529 | 
|---|---|
| Former Name | JEANETTE DEJONGE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX S4859)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2013-03-27 | 
| Last Update Date | 2020-03-31 |