| NPI | 1336790021 |
|---|---|
| Former Name | HALEY ANN JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007374) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2024-10-02 |