| NPI | 1205859451 |
|---|---|
| Former Name | TANYA JANE JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 4026333) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024177701) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: TN APN13911) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-12-02 |