| NPI | 1285314179 |
|---|---|
| Former Name | NERIZA SANTOS GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA ML61462622) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML61462622) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-25 |