| NPI | 1962703504 |
|---|---|
| Former Name | OLIVIA ALVARENGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA21265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PA21265) |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2023-11-16 |