NPI | 1891126173 |
---|---|
Former Name | MICHELLE DAJAY RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00460700) |
Enumeration Date | 2013-12-11 |
Last Update Date | 2013-12-11 |