| NPI | 1164685004 |
|---|---|
| Former Name | SOPHY Y HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: MS 22147) |
| Additional Taxonomies | 2085R0001X (Licence: IL 125053930) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-07-03 |