| NPI | 1023071156 |
|---|---|
| Former Name | SANDRA KAY GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 989) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 1500323) |
| 363A00000X Physician Assistant (Licence: KS 15-00323) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-11-04 |