NPI | 1497496707 |
---|---|
Former Name | BRITNEY NICOLE GOMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 94672) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-04-02 |
Last Update Date | 2025-07-21 |