| NPI | 1932554219 |
|---|---|
| Former Name | MEGHAN MADELYN MARIE JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WI 74840-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 66542) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-12-10 |