| NPI | 1508079476 |
|---|---|
| Former Name | NATASHA FAYE JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 104003) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NC 104003) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-04-22 |