NPI | 1689967747 |
---|---|
Former Name | ALAINA JACOBI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000923) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053281) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2022-07-21 |