NPI | 1538408729 |
---|---|
Former Name | KELLY LYNN RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990636-NP) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CO 0990636) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2018-03-17 |