| 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 |