| NPI | 1023299864 |
|---|---|
| Former Name | VERA HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA4830) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2635) |
| 363A00000X Physician Assistant (Licence: MA PA4830) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2025-12-04 |