| 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 |