| NPI | 1073108528 | 
|---|---|
| Former Name | JENNA HERNANDEZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 260687)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN185939)  | 
| Enumeration Date | 2021-03-06 | 
| Last Update Date | 2025-02-25 |