| NPI | 1548806912 |
|---|---|
| Former Name | MICHELLE RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 798785) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |