| NPI | 1316565708 |
|---|---|
| Other Name | JACQUELINE FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA PA61096605) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2022-08-09 |