| NPI | 1487782975 |
|---|---|
| Former Name | ERICA R JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VT 042-0015499) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ME MD17502) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-11-01 |