| NPI | 1457187841 |
|---|---|
| Professional Name | MARISA B GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2024073444) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |