| NPI | 1619246006 |
|---|---|
| Former Name | OLIVIA GAERLAN VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 21123) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2017-01-01 |