| NPI | 1295099752 |
|---|---|
| Former Name | JESSICA HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX R7456) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7456) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2018-08-06 |