| NPI | 1245490812 |
|---|---|
| Former Name | JENNIFER FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: IL 036137819) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2010-00328) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: NC 2010-00328) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: NC 2010-00328) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-12-06 |