| NPI | 1396259263 |
|---|---|
| Former Name | NISHA JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP138520) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN587182) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2019-10-18 |