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 |