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 |