Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 15377 | NV |
NPI | 1336316421 |
---|---|
Provider Name | Alexandra Lee Gonzalez Aguilar |
First Address | Phoenix, AZ 85067-3269 |
Second Address | Henderson, NV 89052-3908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2008 |
Last Update Date | 20/01/2021 |