Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 19324 | PR |
Y | 2080P0202X | Pediatric Cardiologist | R-10820 | IA |
NPI | 1285074799 |
---|---|
Provider Name | Natasha Gonzalez Estevez |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2013 |
Last Update Date | 09/06/2021 |