| NPI | 1750700431 |
|---|---|
| Former Name | VANESSA MICHELLE MALLOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R8836) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 40683) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-05-23 |