NPI | 1801037163 |
---|---|
Former Name | RONDA RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 71002900A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28160100A) |
363L00000X Nurse Practitioner (Licence: IN 71002900A) | |
Enumeration Date | 2009-03-17 |
Last Update Date | 2023-10-10 |