| NPI | 1356510952 | 
|---|---|
| Former Name | SANDRA GONZALEZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP116122)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 608198)  | 
| Enumeration Date | 2008-02-27 | 
| Last Update Date | 2019-01-31 |