| NPI | 1437580222 |
|---|---|
| Former Name | LYNNE A GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: PA SP032046) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP012227) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2025-02-21 |