NPI | 1235440819 |
---|---|
Former Name | JOALA MARTHA PEREZ TUBILLEJA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A16967) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB09250200) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-29 |
Last Update Date | 2024-09-17 |