NPI | 1801869193 |
---|---|
Former Name | PAULA JUBILEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 076664) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101058937) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2022-03-07 |