NPI | 1962589317 |
---|---|
Former Name | PAULA PRUDENCE DUNGOG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q2438) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C176116) |
207Q00000X Family Medicine (Licence: MI EMC0002476) | |
207Q00000X Family Medicine (Licence: FL ME158855) | |
207Q00000X Family Medicine (Licence: LA 333449) | |
207Q00000X Family Medicine (Licence: CO CDR.002136) | |
207Q00000X Family Medicine (Licence: IL 036.162367) | |
207Q00000X Family Medicine (Licence: TN 67026) | |
207Q00000X Family Medicine (Licence: MT 115873) | |
207Q00000X Family Medicine (Licence: WA MD.61360010) | |
207Q00000X Family Medicine (Licence: MS 30765) | |
207Q00000X Family Medicine (Licence: AL MD.44986) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-12-07 |