| NPI | 1689717787 |
|---|---|
| Former Name | PAULA ANN JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026890L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.025632) |
| 1223G0001X Dentist, General Practice (Licence: ME 4061) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2019-11-11 |