| NPI | 1437513520 |
|---|---|
| Former Name | SUSSETTE GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IA MD-47378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 054430) |
| 208000000X Pediatrics (Licence: IA MD-47378) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-07-29 |