NPI | 1811474042 |
---|---|
Former Name | JESSICA KATHLEEN OMARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MI 7201000030) |
Additional Taxonomies | 170300000X Genetic Counselor, MS |
Enumeration Date | 2018-07-20 |
Last Update Date | 2023-02-28 |