Racheal Rivera. Her primary practice is as an Advanced Practice Midwife, also practicing as a Registered Nurse, a Registered Nurse: Maternal Newborn, a Registered Nurse: Neonatal, Low-Risk, a Registered Nurse: Obstetric, High-Risk, a Registered Nurse: Obstetric, Inpatient, a Licensed Vocational Nurse, and an Advanced Practice Midwife.