# MS. LUPE AMY GONZALEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841388162
- **Gender:** F
- **Credential:** R.P.T. L.AC. R.N.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 26NR06203400 | NJ | — |
| 171100000X | Acupuncturist | 25MZ00024400 | NJ | Yes |
| 225100000X | Physical Therapist | 40QA00409000 | NJ | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 643392 | PTAN | — |