| NPI | 1386055705 |
|---|---|
| Former Name | JULIE RIVERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 98300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 87263) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-05-17 |