| NPI | 1528413838 |
|---|---|
| Former Name | JESSICA BETH POLASEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TX S6102) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2024-11-06 |