| 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 |