Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist |
NPI | 1609393610 |
---|---|
Provider Name | Miss Natalia Ivelisse Rivera-Smith |
First Address | Clermont, FL 34714-5906 |
Second Address | Orlando, FL 32809-6689 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2017 |
Last Update Date | 02/04/2019 |