NPI | 1710414719 |
---|---|
Former Name | ARIEL DEL RIO WALLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA RN138403) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP09421) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2022-01-11 |