| NPI | 1679632251 |
|---|---|
| Former Name | PAULA MELISSA JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 076629) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A85176) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-03-01 |