| NPI | 1154884062 |
|---|---|
| Former Name | MARIA YEZABEL COLON GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 136756) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS18763) |
| 208000000X Pediatrics (Licence: FL U06656) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-05-15 |