| NPI | 1184016453 |
|---|---|
| Former Name | JANNELLE HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9394363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9394363) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2022-01-30 |