| NPI | 1114361110 |
|---|---|
| Former Name | STEPHANIE IWALANI RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201609258NP-PP) |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2022-07-21 |