| NPI | 1588218077 |
|---|---|
| Professional Name | MALISSA FREDERIQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |