NPI | 1396941969 |
---|---|
Former Name | PERI DANA JACOBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420853-1) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F001272-1) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2009-11-09 |