| NPI | 1720247646 |
|---|---|
| Former Name | HEATHER MARIE RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2008-00939) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NC 200800939) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2023-10-30 |