| NPI | 1841420858 |
|---|---|
| Former Name | VALERIE RUNDLE GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q4510) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME 116784) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2015-09-29 |