| NPI | 1043503352 |
|---|---|
| Former Name | KATHRYN ANN JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 14775) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58956) |
| 208000000X Pediatrics (Licence: SD 14775) | |
| 208000000X Pediatrics (Licence: MN 58956) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2026-05-12 |