NPI | 1265183024 |
---|---|
Former Name | ILIANA GOMEZ-OROZCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019620) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95019620) |
Enumeration Date | 2022-01-13 |
Last Update Date | 2023-10-26 |