NPI | 1750516191 |
---|---|
Former Name | HEATHER JOY JACOBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5101018145) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018145) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2022-04-23 |