| NPI | 1215109939 |
|---|---|
| Former Name | MARY ELIZABETH JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 551697) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: NY 551697-1) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2022-09-12 |