NPI | 1033956420 |
---|---|
Former Name | TAMARA GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA RN2259362) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 2024025035) |
Enumeration Date | 2024-07-11 |
Last Update Date | 2024-10-11 |