| NPI | 1255375481 |
|---|---|
| Former Name | LORRAINE OLIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN069244) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-03-07 |