| NPI | 1952727638 |
|---|---|
| Former Name | DEIDRE RIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 628521) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 628521) |
| 163WX0200X Registered Nurse, Oncology (Licence: NY 628521) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |