| NPI | 1376819433 |
|---|---|
| Former Name | DORIS BARBARA JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA G39969) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CO 22374) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: MI 4301052531) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2021-04-20 |