| NPI | 1245439488 |
|---|---|
| Former Name | GENELL DEE JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 308402) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2016-05-16 |