| NPI | 1356311781 |
|---|---|
| Other Name | PEGGY GAMBEE JACOBSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 1927543102) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |