| NPI | 1720344997 |
|---|---|
| Former Name | DIANA CAROLYN GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q5379) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2023-02-01 |