| NPI | 1154478915 |
|---|---|
| Former Name | TRICIA JACOBSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 45007) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 045007) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-12-19 |