| NPI | 1982908786 |
|---|---|
| Former Name | EILEEN RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 249577) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ Az47816) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NM Md2013-0248r) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME110482) | |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2020-06-10 |