NPI | 1659713378 |
---|---|
Former Name | AMBER M JACOBI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004597A) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28168131A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 28168131A) | |
Enumeration Date | 2013-07-23 |
Last Update Date | 2016-02-25 |