| NPI | 1285890822 |
|---|---|
| Former Name | CAROL RIVERA VEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 18737) |
| Additional Taxonomies | 208600000X Surgery (Licence: PR 12004 I) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 931675) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2014-08-07 |