| NPI | 1265697569 |
|---|---|
| Former Name | VERA RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 55349) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01074882A) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-09-24 |