NPI | 1518118124 |
---|---|
Former Name | BRENDA GONZALEZ-ENGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A121728) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN13142) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2012-06-19 |