| NPI | 1326169699 |
|---|---|
| Former Name | KRISTINA A JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AZ 41953) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 54451) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-09-03 |