| NPI | 1548241243 |
|---|---|
| Former Name | ABIGAIL CARMEN RAEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 63798) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01060094A) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2014-09-23 |