| NPI | 1407939614 |
|---|---|
| Former Name | SARAH S JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A76561) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301067424) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-04-04 |