| NPI | 1710684048 |
|---|---|
| Former Name | ABBY LEE JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13441-33) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-03-02 |