NPI | 1023214905 |
---|---|
Former Name | MELISSA CARY JACOBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0061988) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101017441) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-06-26 |
Last Update Date | 2019-03-13 |