| NPI | 1265642581 |
|---|---|
| Former Name | FANNY GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME106001) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME106001) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-07-25 |