| NPI | 1407439623 |
|---|---|
| Other Name | MARITZA LYNN HERNANDEZ HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5222062) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |