NPI | 1295543288 |
---|---|
Other Name | CRISTIAN DAVID RIVERA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11036841) |
Enumeration Date | 2024-12-21 |
Last Update Date | 2024-12-21 |