| NPI | 1790738169 |
|---|---|
| Former Name | JENNY ELIZABETH RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G83749) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA G83749) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-01-27 |