| NPI | 1972860096 |
|---|---|
| Former Name | ILANA MICHAL JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX R0876) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2022-01-25 |