| NPI | 1033450010 |
|---|---|
| Former Name | TAYLOR KANE JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110007929) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2022-01-19 |