| NPI | 1720720386 |
|---|---|
| Former Name | SAMANTHA SOL GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 73478) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-07-25 |