| 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 |