| NPI | 1235898388 |
|---|---|
| Former Name | GABRIELA EMALYNNE PANIAGUA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001227325) |
| 163W00000X Registered Nurse (Licence: NY 665118-01) | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-29 |