| NPI | 1235597956 |
|---|---|
| Former Name | ASHLEY R JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0006030) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001903A) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2022-12-15 |