| NPI | 1982793220 |
|---|---|
| Former Name | ALICIA LYNN GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14719) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 2013) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |