| NPI | 1457004053 |
|---|---|
| Former Name | MARCELINA JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000034956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000230124) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-06-25 |