| NPI | 1942218540 |
|---|---|
| Former Name | MARIA C GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 2050421) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 034908) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-07-25 |