NPI | 1801357900 |
---|---|
Former Name | JENNIFER JACOBSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A178351) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A178351) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2025-08-18 |