| 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 |