| NPI | 1568146827 |
|---|---|
| Former Name | JESSICA EVE MALC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116037716) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |