| NPI | 1144588872 |
|---|---|
| Former Name | VICTORIA M JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09110) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2025-04-22 |