| NPI | 1235116955 |
|---|---|
| Former Name | JULIA ELIZABETH JACOBSOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51448) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA197) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-05-07 |