| NPI | 1255811279 |
|---|---|
| Former Name | KIMBERLY ANN HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1058109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 872655) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2021-11-19 |