| NPI | 1245821586 |
|---|---|
| Former Name | AMY JANINA FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001012194) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 4226) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2025-03-19 |