NPI | 1427561216 |
---|---|
Former Name | MELINA GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1016766) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-016879) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2021-07-01 |