| NPI | 1609192814 |
|---|---|
| Former Name | SUSANNE GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R8903) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME125000) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2019-03-26 |