NPI | 1316417520 |
---|---|
Former Name | ALISHA MARIE GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2018-11-29 |
Last Update Date | 2024-05-21 |