| NPI | 1043284375 |
|---|---|
| Former Name | SUZANNE MICHELLE GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L4954) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A73474) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2017-11-08 |