NPI | 1427693464 |
---|---|
Former Name | JOALIZE MARIE GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11015045) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: FL 9361919) |
Enumeration Date | 2019-11-13 |
Last Update Date | 2021-11-10 |