| NPI | 1962225664 |
|---|---|
| Other Name | VANISHA RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN715164) |
| Enumeration Date | 2024-11-02 |
| Last Update Date | 2024-11-04 |