| NPI | 1407394919 |
|---|---|
| Former Name | SAVANNAH GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ AP9875) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP9875) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2023-11-29 |