| NPI | 1346644572 |
|---|---|
| Former Name | MARLA RUTH JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9437834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN19246) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2023-06-07 |