| NPI | 1578053765 |
|---|---|
| Former Name | JESSICA V MISICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301504088) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301115012) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-02-05 |