| NPI | 1225328974 |
|---|---|
| Former Name | JULIE JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F 336630-1) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2026-02-05 |