NPI | 1104280668 |
---|---|
Other Name | KRYSTAL VICTORIA GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 4220) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 82398) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2022-01-10 |