| Contact Information | |
|---|---|
| First Name | Karen |
| Last Name | Jacobi |
| State | WI |
| Work Phone | - |
| Fax | |
| kjacobi1@prodigy.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Karen - Jacobi |
| Date of Injury | |
| Type of Injury | Obstetric |