| NPI | 1205086261 |
|---|---|
| Professional Name | BETH LOUISE JACO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 197) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN073431) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-10-22 |