NPI | 1801316492 |
---|---|
Former Name | NATALIE GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007417) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 824550) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2020-05-28 |