NPI | 1174670012 |
---|---|
Other Name | JOSEPHINA TRAN GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP12784) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 443865) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2014-03-06 |