| NPI | 1578382370 |
|---|---|
| Former Name | JESSICA MELISSA GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL26-0133) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2026-05-26 |