| NPI | 1992269922 |
|---|---|
| Former Name | CRISTINA ALEJANDRA GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9111901) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9111901) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA911901) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2024-04-10 |