| NPI | 1720205016 | 
|---|---|
| Former Name | SHARON W RIVAS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 30752) | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT179442) | 
| Enumeration Date | 2007-04-19 | 
| Last Update Date | 2019-05-10 |