| NPI | 1871880138 |
|---|---|
| Former Name | MARISA JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 316592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 316592) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA R9290) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2023-07-17 |