NPI | 1831462407 |
---|---|
Former Name | BRIANA RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA165908) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR pa165908) |
Enumeration Date | 2012-02-13 |
Last Update Date | 2020-12-18 |