NPI | 1568921013 |
---|---|
Former Name | ARIELLE DANIELLE OLIVARES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140916) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP140916) |
Enumeration Date | 2019-03-14 |
Last Update Date | 2024-06-06 |