NPI | 1679194518 |
---|---|
Former Name | BIANCA GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704306346) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704306346) |
Enumeration Date | 2020-05-01 |
Last Update Date | 2023-02-08 |