| NPI | 1306159819 |
|---|---|
| Other Name | ERICA LOUISE JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 53552) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI DO00746) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2014-10-21 |