| NPI | 1912494311 |
|---|---|
| Former Name | GRACE HANNAH ISABELLA JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-03505) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2023-04-13 |