| NPI | 1801119383 |
|---|---|
| Former Name | JANAE ILA JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0000260-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 347403-4405) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-RXN.0000095-C-NP) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2014-12-08 |