| NPI | 1659597599 |
|---|---|
| Former Name | ROXANA GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA16849) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA15670) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-06-24 |