NPI | 1730709064 |
---|---|
Other Name | HAZEL ROXAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 192725) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-16 |
Last Update Date | 2025-05-02 |