| NPI | 1679238109 |
|---|---|
| Other Name | GABRIELLA NICOLE MARTINEZ OLIVERAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 027606) |
| Enumeration Date | 2021-10-31 |
| Last Update Date | 2022-10-03 |