NPI | 1538323167 |
---|---|
Former Name | JONEL L GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9191209) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9191209) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2021-04-26 |